Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Annie Elizabeth Wayne, PA-C

Individual provider Physician Assistant · NPI 1679262067

Annie Elizabeth Wayne, PA-C is a Physician Assistant in West Covina, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone: (626) 962-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63098 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679262067
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 2, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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